Individual provider Active NPI

Ahmed Afify, DMD

  • Dentist
  • Southfield, MI
National Provider Identifier
1346664802
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29404 Issued in TX
Practice address
28411 Northwestern Hwy Ste 115
Southfield, MI 48034-5536
Phone
(248) 636-2005
Fax
(248) 636-2006
NPI assigned
Feb 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29404 TX Primary

Addresses

Primary practice location

28411 Northwestern Hwy Ste 115
Southfield, MI 48034-5536

Mailing address

28411 Northwestern Hwy Ste 115
Southfield, MI 48034-5536
Phone (248) 636-2005

Other practice location 1

5935 Aspen Gdn
San Antonio, TX 78238-4400
Phone (617) 955-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305001932 MI Order and Referring Only - DentistPractitioner - Dentist 0547676165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29404TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Restorative Institute, PLLC Dentist PastSince Nov 13, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1346664802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28411 NORTHWESTERN HWY STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345536",
            "telephone_number": "248-636-2005",
            "fax_number": "248-636-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28411 NORTHWESTERN HWY STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345536",
            "telephone_number": "248-636-2005",
            "fax_number": "248-636-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5935 Aspen Gdn",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782384400",
            "country_code": "US",
            "telephone_number": "617-955-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFIFY",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.